Healthcare Provider Details

I. General information

NPI: 1932412814
Provider Name (Legal Business Name): LESLEY LAWRIMORE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 RAMBLEWOOD LN
CHAPIN SC
29036-7604
US

IV. Provider business mailing address

505 RAMBLEWOOD LN
CHAPIN SC
29036-7604
US

V. Phone/Fax

Practice location:
  • Phone: 844-973-6159
  • Fax: 803-973-6158
Mailing address:
  • Phone: 844-973-6159
  • Fax: 803-973-6158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5746
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: